Thursday, 13 July 2017

Hospital Jengka is consider small , and
less patients compare to the other big hospital. Nothing much can learn here
compare to my previous Hospital Taiping, but I kinda pleasant with the slow
rhythm type of working environment.

Front counter of the outpatient department

All of the staff here are quite nice. For
my one month of attachment , the head of Hospital make a a schedule, 2 weeks in
Outpatient Department and 2 weeks in Inpatient-Ward Supply Department.

From Left ( Me , Pn Akmal, Kak Nora, Kak Ozgy, Kak Yas, Kak Juju)

2 weeks in Outpatient department
(Farmasi Klinik Pakar Jengka)

First day was very nervous day, millions
butterflies in my stomach. Soon I felt better , when all of they were friendly
and patience to teach me(Noob Newbie) about everything and routine in the
pharmacy.

I need to remember the position of the
medicines , easier for me to grab it when patients come. It really took me some
days as there are thousands of drugs with different position and strength. Kinda
headache when I need to collect drugs for a long prescriptions, kinda often I stare and blur in front the medication rack.

The medicine also classified according to
the indication on the rack.Some of the medicine consider as the expensive type
, need to record in bin book when ever we took or keep the medicine.

VAS and SBUB rack-The medication will packed easier for the patient next collection.Normally Vas system apply to long term patients with long drugs prescription. SBUB system apply to patient with certain special medication ,delivered from the another hospital.

Small refrigerator , not for food or drinks. This is special for medication storing, insulin, eye drops and certain type of injection. The scary part of the refrigerator, the buzzer will ring if you open the door too long, indicated the drop of temperature. I got scared few times by the buzzer when I took too long to decide how many penfills insulin should I take.

Small store in the outpatient.

Repacking the medications into smaller packing.

I learned to read those super “wormy look ”
of doctor’s writing.

Reconstitute /Fresh prepare syrup.

Basically what I repeat for this whole 2
weeks.

1.After receiving the prescription ,
screening to make sure the medicine are
correct dose with duration and appropriate signature / cop, also to make sure
the medicine is available in pharmacy.

Front counter , give number for patient(It showed the waiting time for each patient)

2.Key in the patient’s data in PHSI (New
system to organize data and reduce medical error) . Key in the IC number, if
the patients came to hospital before , It will shown the previous medicine record
for reference. For the new patient, I did the registeration for them in system.

3. Transcribe the prescription. Key in the
medicines doctor prescribe in the system with appropriate dose, strength ,
direction use, indication, duration, frequacy and special precaution.Here apply
the pharmacology knowledge, a good pharmacy need to alert if doctor prescribe
the wrong medicine / Polyphamrcy and
give the appropriate medical for doctor regarding to the condition of
patients. Pharmacy need to call doctor to double confirm for any alteration on prescribetion.Good
interaction between doctor and pharmacy need.

4.The label of medicine will print. The
pharmacy assistance / pharmacist on duty / me
will help to filled the medicine basket with correct amount of medicines. The medicines will
either ready available or manually packed, stick with the correct label on each
packets.

5.Another pharmacist will double check
(counter check) the medicine before It pass to the another pharmacist on duty dispense. Pharmacist counter check
and the pharmacist dispense shouldn’t be the same person.This to reduce the
medical error. After they make sure its correct, they will signed and
write date for patients next visit
behind the prescription.

6.Pharmacist will dispense the medicine
,and in the same time refer to prescription. This is for the final check
purpose. Special counseling give to the first use of inhaler/insulin pen/
special medicine with special direction of us.

The right side , pharmacist , also my senior Institute Technology Bandung.

From here, I understand this system and procedure put much more concern to prevent the medication error , to ensure the patient’s safety. Pharmacist really had big burden to make sure patient understand the direction and correct route administration on time, last safety guard to discover/realize if any wrong medication by doctor before come to patients